Haley Nicole Campbell, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61314343. Issued in WA

Practice address

5146 Slate CT SE
Olympia, WA 98501-4300

Phone

(904) 518-8067

NPI assigned

Jun 19, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Haley Nicole Davlin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Traverse Therapy Services

  • Mental Health Counselor
  • Kirkland, WA
  • NPI 1306436274
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1598496804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 SLATER AVE NE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334600",
            "telephone_number": "206-853-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 SLATE CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014300",
            "telephone_number": "904-518-8067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11416 Slater Ave NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980334600",
            "country_code": "US",
            "telephone_number": "206-853-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HALEY",
        "middle_name": "NICOLE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61314343.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HaleyD@traversetherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11416 Slater Ave NE Ste 100",
            "city": "Kirkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980334600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "DAVLIN",
            "middle_name": "NICOLE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Campbell-Aoki
• Amber Campbell, ARNP
• Connie L Campbell, LMHC
• Domenica Carmelina Campbell
• Gary F. Campbell, LMHC
• Heather Campbell, MA
• Laura Jenine Campbell
• Taylor Campbell
• Campfire ABA
• Emmely Campos

• Marriage & Family Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.